HomeMy WebLinkAbout; ; Records Destruction Authorization Form-FIre Prevention; 2022-06-1504-26-2022 May 3, 2022
(PJ8153-1 to PJ8153-4 and PJ8174-1to PJ8174-8)
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: 4/7/2022
REQUESTING DEPARTMENT: FIRE PREVENTION REQUESTER: AMBER RESSMER
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained for the scheduled retention period, required audits have been
completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
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DEPT. HEAD/DIVISION MANAGER DAT~ RECORDS MANAGEMENT DATE CITY ATTORNEY DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE
PERIOD (if applicable)
**ORIGINAL SCANNED
DOCUMENTS UPLOADED
VIATRON BACK-FILE SCANNING INTO LASERFICHE AND
12 BOXES OF FIRE PREVENTION HARD COPIES DESTROYED
DOCUMENTS (SEE ATTACHED) PER RECORDS
MANAGEMENT
PROCEDURES
*If more spaces are needed, click in the last box in right hand corner of table and hit "tab". This will create more fields in the table.
To be filled out once records have been destroyed.
RECORD DESTRUCTION COMPLETED BY: __________ _ DATE: _____ _
CERTIFICATE OF DESTRUCTION? 0 YES 0 NO
TAB BARCODES DELETED BY: _____________ _ DATE: ____ _
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
('City of
Carlsbad Revised: 2021
Page /1
File Keepers, LLC 6/15/2022
x
-- --
PJ8153 - FIRE - PERMITS
BOX NUMBER
1
2
3
4
PJ8174 - FIRE - PLANS
BOX NUMBER TOTAL BOXES
1 12
2
3
4
5
6
7
8
FileKeepers, LLC Delivery 49574
6277 E. Slauson Avenue 06/22/2022
mm/dd/yyyy
Los Angeles, CA
90040
800.332.FILE
CERTIFICATE OF DESTRUCTION
FileKeepers, LLC certifies that the following items:
4 SHREDDING NON INVENTORYSTANDARD SIZE BOXES Belonging to: Luis Acevedo
Viatron Systems, Inc.
Destroyed at our facility
NAID AAA Certified: Yes
In reference to delivery: 49574, 06/15/2022
Were transported by our secured truck to our authorized recycling center, shredded confidentially then sent for pulp processing
PJ8153 CITY OF CARLSBAD- FIRE PERMITS
Page 1/1
FileKeepers, LLC Delivery 49574
6277 E. Slauson Avenue 06/22/2022
mm/dd/yyyy
Los Angeles, CA
90040
800.332.FILE
CERTIFICATE OF DESTRUCTION
FileKeepers, LLC certifies that the following items:
8 SHREDDING NON INVENTORYSTANDARD SIZE BOXES Belonging to: Luis Acevedo
Viatron Systems, Inc.
Destroyed at our facility
NAID AAA Certified: Yes
In reference to delivery: 49574, 06/15/2022
Were transported by our secured truck to our authorized recycling center, shredded confidentially then sent for pulp processing
PJ8174 CITY OF CARLSBAD-FIRE PLANS
Page 1/1